Term
| why is it important to "know thyself" when helping a pt with a personality disorder |
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Definition
| need to understand your mental and emotional response to create effective tx and alliance and adapt to your pt personality traits |
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Term
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Definition
| how pt views relationship with doctor |
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Term
| what is a common example of transference |
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Definition
| usually viws dr as authority figure (esp people with previous authority figure issues) |
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Term
| define counter-transference |
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Definition
| how you feel about the patient |
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Term
| what is a common example of counter-transferece |
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Definition
| dr treats pt differently due to issues they didnt deal with in their past |
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Term
| what are the characteristics of a personality disorder that distinguish it from other disorders |
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Definition
pattern of inner experience that deviates from expercations of culture
inflexible, persuasive pattern of behavior across range of personal or social sitations cause distress, impairment in social or occupational or other functions
onset in adolescence or adulthood
not due to other mental disorder, substance, or general medical condition |
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Term
| what are 4 ways a personality disorder manifest |
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Definition
cognition: way of percieving self, others, events
affectivity: range, intensity, liability
interpersonal functioning
impulse control |
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Term
| describe cluster A, what are the disorders |
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Definition
weird, odd, eccentric
paranoid, schizoid, schizotypical |
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Term
| describe cluster B, what are the disorders |
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Definition
wild, erratic, draumatic, emotional
antisocial, bordering, histrionic, narcissistic |
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Term
| descirbe cluster C, what are the disorders |
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Definition
wimpy, anxious, fearful
avoidant, dependent, obsessive compulsive |
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Term
| signs of paranoid personality disorder |
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Definition
| distrust, suspiciousness of others exploiting, harming, or decieving them |
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Term
| ddx of paranoid personality disorder |
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Definition
| psychotic, mood, substance, GMC |
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Term
| TX goals of paranoid personality disorder |
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Definition
| develop trust, be sincere and honest obout reality of tx |
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Term
| signs of schizoid personality disorder |
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Definition
| isolation, detachment, restricted range of emotion, neutral toughts about close relationships |
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Term
| DDX of schizoid personality disorder |
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Definition
| psychotic, mood, PDD, STPD, APD |
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Term
| TX goals of schizoid personality disorder |
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Definition
| business approach, emotional engagement can threatn, remain neutral |
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Term
| signs of schizotypical personality disorder |
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Definition
| eccentric, interpersonal deficit, odd beliefs, magical thinking, odd speech (vauge, circumstantial), severe social anxiety, isolated |
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Term
| DDX schisotypical personality disorder |
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Definition
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Term
| TX goals of schizotypical personality disorder |
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Definition
| supportive (aware of decompensation), meds to AP and anxiety |
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Term
| signs of antisocial personality disorder |
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Definition
| disregard, violation, exploitation, deceit, agression, impulsive, irresponsible, illegal |
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Term
| DDX antisocial personality disorder |
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Definition
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Term
| TX goals antisocial personality disorder |
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Definition
develop trust, straight forward, education, set boundries, refer
hardest to treat |
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Term
| signs of borderline personality disorder |
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Definition
unstable relationships and self-identity
reactive mood (irritability, rage)
parasuicidal
emptiness
love hate fluctuations
act out if shunned (abandoment issues)
"no one has hever been able to help me before! thank you!" then they hate you later for minor conflict |
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Term
| DDX borderline personality disorder |
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Definition
| mood disorder, substances |
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Term
| TX goals borderline personality disorder |
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Definition
dont take personally
adress possible hx sexual abuse (PTSD)
develop trust
refer to DIALECTIC BEHAVORIAL THERAPY |
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Term
| signs of histrionic personality disorder |
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Definition
attention seeking
uncomfourtable if not center of attention
draumatic
seductive often at appt
provocative
superficial relationships |
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Term
| DDX histrionic personality disorder |
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Definition
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Term
| signs of narcissistic personality disorder |
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Definition
arrogand
grandiose sense of importance
need for admiration
entitled
preoccupied with success and power
defensive
exoloitive
lack empathy |
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Term
| DDX of narcissistic personality disorder |
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Definition
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Term
| TX goals of narcissistic personality disorder |
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Definition
develop trust
point out self esteem issues
individual/group psychotherapy
meds
do not feed fantasies |
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Term
| signs of avoidant personality disorder |
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Definition
social inhibition
avoids social activities, desires relationships
afraid of rejection
feels inferior |
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Term
| DDX of avoidant personality disorder |
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Definition
| social phobia, mood, substances |
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Term
| TX foals of avoidant personality disorder |
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Definition
| develop trust, SSRI, individual CBT, monitor sedative/alcohol abuse |
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Term
| signs of dependent personality disorder |
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Definition
emotional dependence
seeks another relationship when close to ones end
fear of disapproval and expressing opinions
needs reassurance and advice
codependent |
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Term
| DDX dependent personality disorder |
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Definition
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Term
| TX goals dependent personality disorder |
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Definition
support
meds
CBT
psychodynamic assertiveness training
Alanon/ACOA |
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Term
| signs of obsessive compulsive personality disorder |
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Definition
| preoccupation with orderliness, perfectionism, control, rules, lists, order, organization, schedules to the extent where point of activity is lost |
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Term
| DDX obsessive compulsive personality disorder |
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Definition
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Term
| TX goals obsessivel compulsive personality disorder |
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Definition
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